Provider Demographics
NPI:1710216148
Name:APEX HAND THERAPY, LLC
Entity Type:Organization
Organization Name:APEX HAND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:VALLURUPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, CHT
Authorized Official - Phone:703-242-4263
Mailing Address - Street 1:226 MAPLE AVE W
Mailing Address - Street 2:SUITE 405
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-5677
Mailing Address - Country:US
Mailing Address - Phone:703-242-4263
Mailing Address - Fax:855-802-9786
Practice Address - Street 1:226 MAPLE AVE W
Practice Address - Street 2:SUITE 405
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-5677
Practice Address - Country:US
Practice Address - Phone:703-242-4263
Practice Address - Fax:855-802-9786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6366620001Medicare NSC